Impact of chronic wrist hypermobility on proprioception, strength, and functional performance in young adults.

Autor: Karagiannopoulos C; DeSales University Division of Healthcare, Doctor of Physical Therapy Program, Center Valley, PA, USA. Electronic address: christos.karagiannopoulos@desales.edu., Griech SF; DeSales University Division of Healthcare, Doctor of Physical Therapy Program, Center Valley, PA, USA. Electronic address: sean.griech@desales.edu.
Jazyk: angličtina
Zdroj: Journal of hand therapy : official journal of the American Society of Hand Therapists [J Hand Ther] 2024 Apr-Jun; Vol. 37 (2), pp. 209-217. Date of Electronic Publication: 2024 Feb 10.
DOI: 10.1016/j.jht.2023.10.001
Abstrakt: Background: Chronic joint hypermobility has been attributed to repetitive ligamentous microtrauma, benign joint hypermobility syndrome (BJHS), or genetic connective tissue disorders that lead to pain and functional impairment, especially among females. Chronic wrist hypermobility (CWH) prevalence, etiology, and effects on proprioception, strength, and function have yet to be established.
Purpose: This pilot study aimed to determine the CWH prevalence among adults; its effects on proprioception, strength, and function; and whether these effects are gender based.
Study Design: This was a quasi-experimental cross-sectional study.
Methods: Ninety wrists (55 participants, mean age 27.46 years) with no wrist range of motion (ROM) restrictions or previous trauma for ≥6 months were screened for CWH based on an exploratory set of diagnostic criteria. Fifty-eight wrists (34 adults) were allocated to a CWH group, and 32 wrists (21 adults) were allocated to a healthy control group. Twenty-five CWH and 25 healthy control matched (gender, age, and handedness) participants were compared. Assessment included the active wrist joint position sense test, hand-held dynamometry for wrist extension and grip strength, and the patient-rated wrist evaluation for function. Testers were blinded to group allocation.
Results: A 64.4% CWH prevalence existed among CWH participants, who were mostly asymptomatic females (74%). Frequent etiologic factors were midcarpal (96.5%) and scapholunate (39%) instabilities and BJHS (37%), which was higher among females (30%) than males (8%). Independent t-tests showed statistically significant (p < 0.05) group differences in wrist proprioception, wrist isometric extension, grip strength, and function with moderate-high (0.41-0.75) effect size. No significant gender differences existed in proprioception and function.
Conclusions: CWH is very prevalent among functional independent young adults with atraumatic midcarpal and intercarpal ligamentous laxities and BJHS. CWH prevails among women and adversely affects wrist proprioception, strength, and function. The study's specific CWH diagnostic criteria may be useful for clinicians to identify and timely manage impacted individuals by CWH.
Competing Interests: Declaration of Competing Interest All named authors hereby declare no financial involvement or conflict of interest with the subject of matter presented in this research manuscript.
(Copyright © 2024 Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
Externí odkaz: